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FORMS <br /> FLORIDA BUILDING CODE,ENERGY CONSERVATI�DN <br /> FORM 402-2010 Residentiai Butiding Thermal Envelope Approach ALL CLIMATE ZONES <br /> Scope:Compiiance with Section 402 of the Florida Buildrng Code,Energy Conservation,shall be demonstrated by the use of Form 402 for single-and multiple-family residences of three <br /> stones or less in height,additions to exisUng residential buildings,renovations to existing residential buildings,new heating cooling and water heating systems in existing buildings as <br /> applicabie.To comply,a building must.meet or exceed ail of the energy eff'iciency requfrements on Table 402A and all applicable mandatory requirements summarized in Table 402B o�this <br /> form.if a building does not comply w�th this method or Alternate Form 402,it may still compiy under Section 405 of the Florida Buifding Code,EnergyConservation. <br /> PROJECTNAME: PALMER /t��'rlD gUILDER: ,(r. '("" E L'OII�STrZ.U� � � <br /> AND ADDRESS: 38l0 33 ChM�£1J/4�. PERMITTING n / <br /> ZEP({`/R2i-ILLS�FL.•3SSt10 OFFICE: �[ U"F Z /� ` lS <br /> r �i <br /> OWNER: �/'�{,.t�Z.IGK P/�LMER PERMIT NO.: �j� JURISDICTION NO.: � l �4Z� <br /> G e neral Instru cti ons: <br /> 1 New construction which incorporates any of the following features cannot compiy using this method:glass areas in excess of 20 pe�cent oi conditioned floor area,electric resistance <br /> heat and air handlers located in attics.Additians�600 sq.ft.,renavations and equipment cfiangeouts may compiy by this method with exceptions given. <br /> 2.Fill in all the applicabie spaces of the"To Be Installed"column on Table 402A with the iniormation requested.Ali"To Be Installed"values must be equal to or more efficient than the <br /> required levels. <br /> 3.Complete page 1 6ased on the"To Be Installed"coiumn information. <br /> 4.Read the requirements of Table 4026 and check each box to indicate your intent to comply wfth all applicable items. <br /> 5.Read,sign and date the"Prepared By"certification statement at the bottom of page 1.The owner or owne�s agent must aiso sign and date the form. <br /> Please Print CK <br /> 7. New construction,addition,or existing building 1,_ �i�"iDw <br /> 2. Single-family detached or multiple-family attached 2 �� G <br /> 3. If multiple-family-No.of units covered by this submission 3 --- <br /> 4. Is this a worst case?(yes/no) <br /> a. N o <br /> 5. Conditioned floor area(sq.ft.) 5 a�� � <br /> 6. Giass type and area: <br /> a.U-fac[or sa. D�(oS <br /> b.SAGC 6b. �•.�- <br /> c.Glass area 6c. l�Q sq.ft. <br /> 7. Percentage of glass to floor area 7, g % <br /> 8. Floor type,area or perimeter,and insutation: <br /> a.Slab-on-grade(R-value) ga,R- $ - lin.ft. <br /> b.Wood,raised(R-value) 8b.R= sq.ft. <br /> c.Wood,common(R-value) g�,R= sq.ft. <br /> d.Concrete,raised(R-value) 8d.R= sq.ft. <br /> e.Concrete,common(R-value) 8e.R= sq.ft. <br /> 9. Wall type,area and insuiation: <br /> a.Exterior: 1. Masonry(Insulation R-value) 9a-1. R= �O 33� Sq.ft. <br /> 2. Wood frame(Insulation R-value) 9a-2. R= sq.ft. <br /> b.Adjacent: 1. Masonry(Insula[ion R-value) <br /> 2. Wood frame(Insulation R-value) 9b-1. R=�_ I 28 sq.ft. <br /> 9b-2. R= sq.ft. <br /> 10. Ceiling type,area and insulation: <br /> a.Under attic(Insulation R-value) 10a.R-��sq.ft. a00 <br /> b.Single assembly(Insulation R-va]ue) 10b.R= sq,ft. <br /> 11. Air distribution system:Duct insulation,location,Qn <br /> a.Ductlocation,insulation iia. R= 8 /�l�tL <br /> b.AF3U location 11 b. /s[ktt'G. <br /> c.Qn,Test report actached(<0.03;yes/no) 11 c.Test report attached? Yes � <br /> 12. Cooling system: L,� 1 <br /> a.Type 72a.Type: �°_�°nz ►�i <br /> b.E�ciency 12b.SEER/EER: 13.0 <br /> 13. Heating system: 13a.Type: �Ga.'4'Qi.�w�K� <br /> a.Type 13b.HSPF/COP/AFUE: T.7 <br /> b.Efficiency <br /> 14. HVAC sizing calculation:attached 14. Yes Jy <br /> 15. Hot water system: N � <br /> a.Type 15a.Type: <br /> b.Efficiency 15b.EF: <br /> I herehy certffy that the p �snd specifications covered by the calculation are in compliance wfth the Florida Review of plans and specifications covered by this calculaUon indicates compliance with the Florida <br /> Energy Code. � Energy Code.Before construciion is compl d, is buildhlg�wlll be inspected for compliance in <br /> //-/` accordance with SeMion 553.@08,F.S <br /> PtiEPARED BY� z DATE:�I� � <br /> ' CODE OFfICIAL ��''F� <br /> I hereby cert'�that n is in co ce th orida Energy Code: <br /> OWNER AGE : DATE:�!� DATE: -"" " Z <br /> C.4 2010 FLORIDA BUILDING CODE-ENERGY CONSERVATION <br />